| NPI | 1699214064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP221619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 225314) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20944) | |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2024-05-03 |